Organization
MEDICAL DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOVHANNES T KARAGEZYAN (DIRECTOR)
(602) 256-6555
Entity
Organization
Contact information
Practice address
16601 N 40TH ST, SUITE 129, PHOENIX, AZ 85032-3345
(602) 256-6555
(602) 256-7555
Mailing address
16601 N 40TH ST, SUITE 129, PHOENIX, AZ 85032-3345
(602) 256-6555
(602) 256-7555
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128136
AHCCCS PROVIDER ID
AZ
Enumeration date
12/27/2006
Last updated
04/02/2009
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